NICOLE L LOGAN

CLEVELAND, OH
NPI1235704552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  176200)
Enumeration Date2021-05-20
Last Update Date2021-05-20
Business Address
NICOLE L LOGAN
3214 PROSPECT AVE E
CLEVELAND, OH 44115-2614
Phone number: 216-910-9015
Mailing Address
NICOLE L LOGAN
34474 SCOTCH LN APT 4
WILLOUGHBY HILLS, OH 44094-2991
Phone number: 770-369-3510